UTAH STATE UNIVERSITY


Address: 6802 Old Main Hill, Logan, UT 84322-6802
Phone: 4357972750

UTAH STATE UNIVERSITY (NPI# 1174694095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174694095
Entity Type Organization
Organization Name UTAH STATE UNIVERSITY
Other Organization Name CENTER FOR PERSONS WITH DISABILITIES
Practice Address 6802 Old Main Hill
Logan
UT 84322-6802
Practice Telephone 4357972750
Practice Fax Number 4357974054
Mailing Telephone 4357972750
Mailing Fax Number 4357974054
Enumeration Date 2006-11-13
Last Update Date 2018-08-28
Authorized Official Name KATHRYN CLEMENTS (FINANCIAL OFFICER)
Authorized Official Telephone 4357975830
Is Organization Subpart Y
Parent Organization Name UTAH STATE UNIVERSITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
UT Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Center for Persons with Disabilities Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063679785 Utah State University Community/Behavioral Health 6813 Old Main Hill, Logan, UT 84322-6813 2008-05-20
1811054182 Utah State University Respite Care 809 N 800 E, Logan, UT 84321-3634 2007-01-03
1629619010 Utah State University Behavioral Analyst 6405 Old Main Hill, Logan, UT 84322-0001 2019-10-07
1447715701 Utah State University Specialist 6405 Old Main Hill, Logan, UT 84322-0001 2019-01-31
1144531419 Utah State University Day Training, Developmentally Disabled Services 150 E Center St, Moab, UT 84532-2430 2010-07-01
1235374984 Utah State University Speech-Language Pathologist 6410 Old Main Hl, Logan, UT 84322-6410 2008-12-10
1386776730 Utah State University Psychologist 2810 Old Main Hl, Logan, UT 84322 2007-03-12
1811058076 Utah State University Psychologist 2810 Old Main Hl, Logan, UT 84322-2810 2006-12-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (BLANDING) 639 W 100 S Suite 1-A, Blanding, UT 84511-4217
System for Award Management (SAM) Entities UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (PRICE) 451 E 400 N, Price, UT 84501-2626
System for Award Management (SAM) Entities UTAH STATE UNIVERSITY SPACE DYNAMICS LABORATORY 1695 N Research Pkwy, North Logan, UT 84341

Office Location

Street Address 6802 OLD MAIN HILL
City LOGAN
State UT
Zip Code 84322-6802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447706007 Conner Andrews Physician Assistant 7425 Old Main Hill, Logan, UT 84322 2016-09-01
1841743515 Kali Leanne Markle Audiologist 2620 Old Main Hl, Logan, UT 84322 2016-07-29
1043670011 Paul Bryan Beachem Iv Specialist/Technologist 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 2016-03-03
1508387176 Matthew Steven Buckner Specialist/Technologist 7400 Old Main Hl, Logan, UT 84322 2017-07-04
1386776730 Utah State University Psychologist 2810 Old Main Hl, Logan, UT 84322 2007-03-12
1366971368 Caleigh Goode Specialist/Technologist 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 2017-06-05
1639319775 Vicki L. Simonsmeier Speech-Language Pathologist Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 2009-03-03
1730246299 George Christopher Wootton Nurse Practitioner 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 2007-01-03
1356373807 Utah State University, Center for Persons With Disabilities Day Training, Developmentally Disabled Services 6810 Old Main Hl, Logan, UT 84322-0001 2006-07-07
1801878095 James Walter Davis Emergency Medicine 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 2005-11-15
Find all providers in zip 84322

Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285789537 Logan-mingo Area Mental Health, Inc Clinic/Center 174 Lmah Center Rd, Logan, WV 25601-4058 2007-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396342986 Aba Services of Utah LLC Clinic/Center 153 N Elk Ridge Dr, Elk Ridge, UT 84651-4649 2020-10-06
1487068979 East Mountain Therapy Clinic/Center 721 N 530 E, Orem, UT 84097-4105 2014-06-12
1649452863 Blue Sky Therapeutics, LLC Clinic/Center 1910 Prospector Ave, Suite 201, Park City, UT 84060-7211 2007-11-29

Competitor

Search similar providers

City LOGAN
Zip Code 84322

Improve Information

Please comment or provide details below to improve the information on UTAH STATE UNIVERSITY.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches